Rob T.
United Health Care/ US Health/Freedom Life plays shell games with your healthcare
I purchased a United Health Care US Health Insurance policy last year, consisting of 6 different subsections that they use to rip off their clients. I have Secure Advantage Sickness, Secure Advantage accident, Secure Advantage health and wellness plus, Medguard III, Accident Protector, Income Protector, all of which I was assured was an outstanding plan that I planned on keeping for the foreseeable future. I thought it was odd that they required me to have 6 different categories inside my policy, but I just assumed it was part of their marketing to make the policy seem more robust. Sort of like touting the US Health Group & Freedom Life wrapped in star spangled red, white and blue…Heck, they are as American as apple pie. Well after nearly 2 hours on the phone with several people in India from their call center, I discovered a lot more than just their name is a lie. For perspective, I injured my shoulder in October of last year, sucked it up until January hoping it would get better on its own and finally broke out the provider list and went to a Dr. in my network to find out what was wrong. Full thickness tear on my supraspinatus, retracted quite a bit and torn labrum…break out the scalpel. I had several appointments prior to surgery, an MRI, X-rays, blood work, Dr. visits all that would total up to roughly $3000 out of pocket. This is relevant because my maximum out of pocket based on my plan is $2000. I didn’t really start thinking about my out-of-pocket expenses until I received 2 more bills from the surgery center and the anesthesiologist from my surgery in March that came out to roughly another $4000. This is when I tried to make heads or tails of my billing on the US Health website. I finally gave up on banging my head against the wall of their convoluted system and called customer care. Don’t get me wrong, I think the folks they hired in India to handle their customer service and claims are doing their best to understand the people in the US that have bought the policies, and as one of those US people I really tried my best to understand them as well, but trying to communicate a concern while also deciphering what was being said in accents thicker than The Great Wall of China is not conducive to a fulfilling customer service experience. While they were very good about letting me know that I had fulfilled my deductible requirements, they seemed to struggle with the concept that this meant I should not have to pay anymore out of pocket for my health care. At one point I was told that I had to pay the additional charges because I used Dr’s out of network. I argued with them until they verified that both the Dr. and surgical center were actually in network. Then we circled back to the bills. I was then told that while I had fulfilled the out-of-pocket maximum, my plan required me to pay 20% of all services. Once I gathered the pieces of my skull off the wall after exploding from the utter absurdity of their position, I demanded to speak to a supervisor. The supervisor who was no easier to understand and sadly a student of the same nonsensical, circular arguments I’d been subjected to for the last 45 minutes eventually told me that while I had fulfilled my max out of pocket for the Secureadvantage Sickness, I had to fulfill my max out of pocket for the Secureadvantage Accident. Yes, you got that right, shoulder injuries are now considered an “illness” to the galactically stupid. According to the supervisor, I needed to go back to the Dr.s that performed the MRI, X-Rays, bloodwork and various other elements that were done before the surgery because they submitted their claims using the Sickness designation instead of the Accident designation. Shockingly, those same Dr.s managed to get it right when they cut me open and fixed my shoulder. I find it incredibly hard to believe that an MRI tech would list an MRI with dye injected into my shoulder joint… about as much fun as fiberglass underwear…would list that procedure as something that was due to illness…”poor guy caught a bad case of torn rotator cuff”. I can’t give any advice on which company to get insurance from, but I can whole heartedly advise anyone considering these con artists to run…don’t walk…sprint like Usain freakin Bolt away from US Health like your life depends on it…because it just might.

